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anyone read this please irregular heartbeat.

Crumbling profile image
16 Replies

I had a very racing heart last Thursday and used the Fibricheck app which gave this reading. I take blood pressure meds plus Nevibolol 1.5 and Apixaban.

It settled down after an hour or so, and FC says mild irregularities but it looks very dramatic to me, can anyone give any insight into this reading please.

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Crumbling
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16 Replies
BobD profile image
BobDVolunteer

Sorry looks nothing like any ECG I could read.

Crumbling profile image
Crumbling in reply toBobD

Sorry it’s me not thinking correctly, I know it’s not an ecg I’ve changed the header.

Cliff_G profile image
Cliff_G

As Bob says, it's not an ECG. One graph is labelled PPG which is a PhotoPlethysmoGram, the red light which looks at blood flow in a finger, often use for oxygen sat sensors. These are pretty limited in terms of diagnosing different rhythms, all they can do is record the timing of pulses as they vary or stay regular.

Certainly the tachogram indicates a key feature of AF, which is an irregularly irregular heartbeat. The Lorenz plot shows a big variation in consecutive beats, with quite a few intervals around 500 msec, as does the tacho, so a beat-to-beat rate of 120 bpm, which as you suspect, is too high.

All I think you can do is seek cardiology/EP advice.

Are you on any meds? If not, that may be a next step, if you are, then they're not working terribly well and may need tweaking.

Crumbling profile image
Crumbling in reply toCliff_G

Thank you, yes of course it’s not an ecg I don’t know what I was thinking saying that 🙄I’ve changed it now. I have mentioned to my doctor that I still get a lot of irregular heartbeats, not all as bad as this one., she just says it’s fine. I had a private cardiology appt originally, I think I’ll have to pay for another one because I’m not convinced I’m on the correct meds.

Cliff_G profile image
Cliff_G in reply toCrumbling

Unfortunately also my experience over the years that some doctors just don't "get" it. Once you find one who does they are solid gold.

Teresa156 profile image
Teresa156

Is she a cardiologist? I don’t think I’d be happy with her just saying it’s fine, if you’re feeling theses irregularities.

If you do end up paying to see someone privately, please can I suggest you seek out an EP in your local hospital ? They specialise in Arrythmias. They can transfer you to an NHS list.

Omniscient1 profile image
Omniscient1

If you do set it to ECG watch out for the scale. A minutes worth of readings across a page of A4 or a phone screen will be too condensed to see anything. Try and get it to 10 secinds

kkatz profile image
kkatz

This might help.If the link disappears just search for how to interpret fibrecheck measurements .fibricheck.com/the-fibriche...

I swear by fibrecheck and although I am now in NSR I get an annual subscription.However I would usually back up with a Kardia or Emay reading.

The readings can be scary and that is one of the scariest.is it worth paying for a detailed report?

Was it an isolated result? Don't get freaked out by an isolated reading.If happening all the time see if you can get further advice.

From memory Arrythmia nurse said ectopics.

Hope this helps.

Thomas45 profile image
Thomas45

Apart from the readings on an app how did you feel yourself?

MaryCa profile image
MaryCa

Fibricheck is definitely good but I can't decipher it. Neither could the nurse in my GP practice. She just wasn't interested. Seemingly cardiologists will understand it. Invest in a kardia.

hanne6263 profile image
hanne6263

Definitely worth paying the £10 odd to have a human being look at this. I'm also a fibricheck user and have done this a few times. Mine have usually come back as ectopics when they've been all over the place. They come back quickly with a report.

Engineer46 profile image
Engineer46

As I'm sure that you know, the FibriCheck app simply measures the time interval between each heart beat. In sinus rhythm at rest, there should be little difference between the intervals - in other words a steady heartbeat. If there are large differences between the intervals at rest, it may indicate an irregular heartbeat, although the app can't really do much more than that.

In your case the chart states that you were walking just before taking the readings, so you may not have been "at rest". At first glance, the readings appear to be very irregular, but there are many clustered around 500 msec (HR of 120) and a similar number clustered around 1000 msec (HR of 60). This doesn't suggest AF to me, rather that the app is frequently not detecting beats. If we assume that your heart rate was actually around 120 bpm, an interval of 500 msec, each time that the app missed a single beat it would record an interval of 1000 msec in error and report a heart rate of 60 bpm.

I can't say with certainty that this is the reason for some of the irregularities on the chart, but it is one possible explanation. I would say though that it probably isn't worth paying for a detailed report on those readings.

Best wishes,

Paul

Ppiman profile image
Ppiman

It looks like a fast heart rate, but NSR? I would consider getting something like the excellent Apple Watch or a Contec PM20 home ECG, which are my preferred ones, or a Kardia or Wellue, maybe?

Steve

Brianbongo profile image
Brianbongo

suggest you get a Kardia….❤️😎

DawnTX profile image
DawnTX

my opinion, but too many people are obsessed with numbers when there’s no reason to be unless you are feeling awful and it’s lasting even people without a fib have a heartbeat and palpitations before I had a fib a cup of coffee, could do it one of the first things my PE had me do was stop taking my numbers like I had been even though it was only with an oximeter. If you sat there for an hour, and every 10 minutes took it you would probably see changes if you got up and down, they would change even more. That’s what they do. They change according to what you’re doing. Now, if you suddenly hit 100 and you’ve been only 70 I can see being concerned I have recently had that. That is why I have my doctor. They sorted out and then send you where you should be. I don’t have to look at numbers to know how I feel. I decided I had more important things to do than keep clipping that on my finger and driving my NP crazy maybe I’m just very in tune with my body. I know when I trigger something and I know it’s gonna go away. Even with a pacemaker, you will these which I did not know in the beginning. They no longer can do damage, even though they are still annoying.

if I have the faith in my doctor to go in and work on my heart, which saved my life by the way, then I think I’ll listen to him about numbers

Crumbling profile image
Crumbling

hi all, thank you so much for your replies, I do appreciate them.

I spoke to my doctor today and as I’m only on 1.25 Nebivolol she has suggested I go up to 2.50 and give that a try, I’ve only been on it for a month, I changed from Bisoprolol it’s still a relatively low dose, hopefully it will calm everything down.

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